42D2245509 CLIA NUMBER - CONGRESS STREET PHARMACY

Laboratory Demographics

  • CLIA Code: 42D2245509
  • Facility Name: CONGRESS STREET PHARMACY
  • Facility Address: 12 N CONGRESS STREET, SUITE A
    YORK, SC
    ZIP 29745
  • Facility Phone: 803 818-4116
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELIZABETH GIRARD
  • NPI Number: 1194397216
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2245509
LAB Type Pharmacy
Facility Name CONGRESS STREET PHARMACY
Street 12 N CONGRESS STREET, SUITE A
City YORK
State SC
ZIP 29745
Phone 803 818-4116
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Pharmacy
Lab Director ELIZABETH GIRARD

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This page was last updated on: 9/29/2025